Meijer Pharmacy #265
LBN: Meijer Great Lakes Limited Partnership
Meijer Pharmacy #265 is an health care organization with primary practice located at 9200 S Western Ave , Evergreen Park IL 60805-2500. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Meijer Great Lakes Limited Partnership can be contacted via phone (708) 499-8110, or through Beauch, Jason via phone (616) 791-3169.
Contact Information
Primary practice address
9200 S Western Ave
Evergreen Park IL 60805-2500
Phone: (708) 499-8110
Fax: (708) 499-8165
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 054018283 | Illinois |
Suppliers / Community/Retail Pharmacy | 3336C0003X | 054018283 | Illinois |
Profile Details
NPI number | 1417398082 |
---|---|
LBN Legal business name | Meijer Great Lakes Limited Partnership |
DBA Doing business as | Meijer Pharmacy #265 |
Authorized official | Beauch, Jason R.PH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 11th, 2013 |
Last updated | Feb 25th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417398082 | NPPES |
Indiana | MEDICAID | 201193960A |
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